preparing for your aortoiliac occlusive disease...
TRANSCRIPT
Preparing for your
Aortoiliac Occlusive
Disease Angioplasty and
Stenting
Michigan Medicine Frankel Cardiovascular Center
Frankel Cardiovascular Center
Preparing for Your Aortoiliac Occlusive Disease Angioplasty and Stenting
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Table of Contents:
What are my pre-procedure medications
instructions?........................................................................... 4
How can I prepare for my hospital stay? ……................6
How will I prepare for surgery? …….................................7
What happens when I arrive at the hospital?…….........10
What can I expect during my procedure? …………….11
What will my hospital stay be like? …………………….12
What can I expect on the day of discharge? …………...18
When do I need to seek emergency care? ……………...19
When do I need to call my doctor? ………………………20
What type of follow up care will I receive? ……………20
What steps should I take to monitor my health at
home? …………………………………………………………..21
How will I manage my discomfort at home? …………22
What are my medication instructions? ………………….23
What can I do to stay healthy? ……………………………24
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Michigan Medicine Phone Numbers
Billing ………………………………………………………………………… 855-855-0863
734-615-0863
Call Center ……………………………………………………………………888-287-1082
Vascular Surgery (use Call Center) ………………………………………888-287-1082
Cardiovascular Operating Room Desk …………………………………734-232-4553
Office of Clinical Safety (comments) ……………………………………877-285-7788
Emergency Department ……………………………………………………734-936-6666
Guest Assistance Program (GAP) (accommodations) …………………800-888-9825
Hospital Operator ……………………………………………………………734-936-4000
Lost & Found …………………………………………………………………734-936-7890
Mardigian Wellness Resource Center ……………………………………734-232-4120
Parking & Transportation …………………………………………………734-764-7474
Registration & Insurance4 Verification …………………………………866-452-9896
Med-Inn (hotel) ……………………………………………………………800-544-8684
734-936-0100
Tobacco Consultation Services ……………………………………………734-938-6222
Units (Patient Care):
CVC-4 ICU ……………………………………………………………734-936-6514
CVC-5 Cardiac Surgery ……………………………………………734-232-4772
CVC-2A Cardiac Procedure
Unit………………………………………………………………… 734-232-4200
Other:
Michigan Quit Line (Smoking) ……………………………………………800-784-8669
Address (mail):
Frankel CVC (room number/unit if known) or UH (room number/unit if known)
Person’s Name
University of Michigan Health System
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Building Location (visiting):
Samuel and Jean Frankel Cardiovascular Center
East Ann Street & Observatory Street
Ann Arbor, MI 48109
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What are my pre-procedure medication instructions?
A member of your health care team will review your medications at your
history and physical visit. They will tell you which medications to stop before
surgery, and which to take on the morning of your surgery with sips of water.
What about my blood thinners?
Your care team will talk to you about your blood thinners. Tell them if
you are on a blood thinner such as: warfarin (Coumadin®), rivaroxaban
(Xarelto®), dabigatran (Pradaxa®), apixaban (Eliquis®), or edoxaban
(Lixiana®). You will have to stop taking your blood thinner. You may
have to take a different blood thinner instead.
Continue to take aspirin or clopidogrel (Plavix®) unless your surgeon tells
you not to.
What about over the counter medications and supplements?
Below are common medications and supplements you need to discontinue
before your procedure:
14 days before surgery: stop taking Coenzyme Q10 (CoQ10)
7 days before surgery: stop taking Non-Steroidal Anti-Inflammatory Drugs
(NSAIDs):
Advil® (ibuprofen)
Aleve® (naproxen)
Anaprox® (naproxen)
Arthrotec® (diclofenac)
Cataflam® (diclofenac)
Clinoril® (sulindac)
Daypro® (oxaprozin)
Disalcidv® (salsalate)
Feldene® (piroxicam)
Haltran® (ibuprofen)
Lodine® (etodolac)
Medipren® (ibuprofen)
Insulin: Your health care team will let you know if there are any
changes to your dose(s) the night before and/or the day of your
procedure.
Do not smoke for 2 weeks before surgery
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Midol® (ibuprofen)
Motrin® (ibuprofen)
Nalfon® (fenoprofen)
Naprelan® (naproxen)
Naprosyn® (naproxen)
Nuprin® (ibuprofen)
Orudis®(ketoprofen)
Relafen®(nabumetone
Tolectin® (tolmetin)
Trilisate®(salicylate)
Voltaren®(diclofenac)
(7) days before surgery: stop taking weight loss products and nutritional or
herbal supplements:
Alpha-Lipoic
Acid
Acetyl- l-
carnitine
Cinnamon
Chamomile
Creatine
Echinacea
Ephedra
Fish Oil
Garlic
Ginger
Gingko Biloba
Ginseng
Glucosamine-
Chondroitin
Glutamine
Goldenseal
L-carnosine
Licorice
Kava Kava
Milk Thistle
Multivitami
n
Omega-3
Resveratrol
Skullcap
St. John’s Wort
Vitamin E
Note: the medications listed are selective and do not include all medications
that affect bleeding. You should always follow your health care team’s
directions about taking medications.
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How can I prepare for my hospital stay?
Review the preoperative folder and bring it with you the hospital. Include
the light blue Blood Bank form if indicated.
Assign a family member or friend as your driver, you will not be able to
drive yourself home. Taking or cab or bus alone is not acceptable unless
someone you know is with you.
Quit smoking and vaping! The sooner you quit before surgery, the better.
People who smoke or vape up until the day of surgery are at higher risk of
developing complications during and after surgery. If you continue to
smoke/vape you will be more likely to have:
o A longer stay in the hospital
o A greater chance of needing intensive care
o Increased risk of poor wound healing
o Increased risk of death
If you want assistance to quit prior to surgery, ask for a referral to the
MHealthy Tobacco Consultation Service or call them yourself at (734)
998-6222.
Other resources:
o The Michigan Tobacco Quit line: 1-800-QUIT-NOW (free resource)
o The Truth Initiative: www.becomeanex.org
o US Department of Health and Human Services: www.smokefree.gov
What do I bring to the hospital?
Bring a copy of your advanced directive and insurance cards.
Plan on bringing any special equipment that you use at home:
o Glasses, dentures and hearing aids with storage cases. Be sure to label
these items with your name.
o CPAP machine if you have sleep apnea.
o Walker or cane, labeled with your name.
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o Leave all jewelry at home. Including wedding bands, hair clips, body
piercings, earrings and watches.
Pack a suitcase with these items for your family/friends to bring to you
after your surgery:
Loose, comfortable clothing. Button down shirts are preferred.
Robe.
Comfortable walking shoes.
Toiletries: toothbrush, toothpaste, deodorant, comb, etc.
A list of the medications you are currently taking including
vitamins and herbal supplements. Do not bring the actual
medications with you.
How will I prepare for surgery?
Instructions for the day before your procedure:
Do not drink alcohol 24 hours before your procedure.
On the last business day (Monday-Friday) before your procedure, you will
need to confirm the day and time of your procedure. Make sure you follow
these steps:
o If your surgery is in the:
o CVC Operating Room on level 4
Call the surgery phone line at (866) 983-9090 between
7:30am and 11:30am.
If your procedure is on Monday, call the Friday before. If
your procedure is the day after a holiday, call on the last
business day (M-F) before the holiday.
On the answering machine leave your name and phone
number. Be sure to spell your name clearly and slowly.
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A preoperative nurse will call you back between in the
afternoon before 5:00pm to give you the following
instructions:
The time your procedure starts and what time you
should arrive the day of your procedure.
When to stop eating food and drinking liquids.
Medications you should take on the day of your
procedure.
□ CVC Hybrid Operating Room on Level 2A
A preoperative nurse from the cardiac procedure unit will
call you after 2:00pm to give you the following
instructions:
The time your procedure starts and what time you
should arrive the day of your procedure.
When to stop eating food and drinking liquids.
Medications you should take on the day of your
procedure.
If your procedure is on Monday, call the Friday before. If
your procedure is the day after a holiday, you will get a
call on the last business day (M-F) before the holiday.
Who do I contact if I’m not feeling well the day before my procedure?
Report any symptoms of flu, cold, infection, chest pain, difficulty breathing or
black/bloody stools to your doctor. It is important that you be in your best
health possible for your procedure.
To report any of these symptoms before 4:30pm call (888) 287-1082
Monday – Friday and ask to speak to the Vascular Surgery Nurse.
To report symptoms after 4:30pm, please call (866) 983-9090 and leave a
message.
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What activities should I avoid after midnight the night before my surgery?
Do not eat gum, hard candy, or food of any kind.
You may have sips of water with your morning medications up to (2) hours
before your arrival time.
How do I shower and get ready for my surgery?
You need to shower on the night before and morning of your surgery using
Chlorhexidine (CHG) 4% antiseptic soap which is a surgical soap that reduces
the amount of germs on your skin.
1. Take a shower the night before your surgery.
2. Wash your face using regular soap.
3. Wash your hair using regular shampoo. Make sure to rinse your hair
completely after shampooing.
4. Wash your body from the neck down using the chlorhexidine body wash for
at least 5 minutes with a freshly-laundered wash cloth. Do the following:
a) First, wash your surgical site area and all surrounding skin with the
CHG soap.
b) Then wash your underarms, chest, under your breasts, stomach/belly
button, hips, groin and buttocks.
c) Rinse thoroughly.
o Do not use the body wash on your face, eyes, ears, mouth or hair.
o Do not use in your genital area (“private parts”).
5. Rinse your body completely and pat your skin dry with a freshly laundered
towel.
o Do not apply make-up, deodorant, lotions, sprays, gels, creams,
ointments or powders after showering with the CHG soap.
o After showering, use freshly-laundered bed linens.
6. Put on clean underwear, socks and clothing.
7. On the morning of your surgery, use a new freshly-laundered washcloth and
towel and repeat steps 1-6.
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Remove nail polish and artificial nail products from your hands and feet.
Do brush your teeth the morning of surgery. This reduces your chances of
pneumonia after surgery.
Do not wear contact lenses to the operating room.
What happens when I arrive at the hospital?
Please park in Cardiovascular Center Visitor Parking Structure P5.
1. Enter the Cardiovascular Center on Level 3 from the parking structure
2. If your surgery is in the:
CVC Operating Room on Level 4
o Take the elevator to Level 4.
o “Surgery Check In” is on the right hand side after you exit the
elevator.
CVC Hybrid Operating Room on Level 2A
o Take the elevator to Level 2A.
o “Surgery Check-In” is on the left hand side after you exit the
elevator.
Valet service is available for patients, families, and other visitors for a $5.00 fee
at the circle drive main entrance to the Cardiovascular Center. Valet Service is
available:
Monday through Friday 5:30 a.m. to 7 p.m.
Saturday and Sunday 8 a.m. to 6 p.m.
Address to use for GPS directions to the
Frankel Cardiovascular Center:
1425 E. Ann St.
Ann Arbor, MI. 48109
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What can I expect during my procedure?
Angioplasty is considered a non-surgical procedure because it's less invasive
than surgery. Your body isn't cut open except for a very small puncture site in
your groin, arm or wrist. General anesthesia isn't needed, so you're awake
during the procedure.
Before the procedure
1. You are taken to a procedure room and asked to lie on a bed. You will rest
your head in a cup-shaped area to help you remain comfortable and still
while pictures of your artery are taken.
2. Small electrode patches are placed on your chest to monitor your heart rate
and rhythm during the procedure.
3. You will have an intravenous catheter (a flexible tube) placed in your veins
for fluids and medications.
4. Your groin or arm is shaved and cleaned with an antiseptic solution, and a
sterile drape is placed over your body.
5. You will receive sedation medication to help you relax.
6. A local anesthetic is injected into your groin to numb the area.
7. Once you're sedated, your doctor makes a puncture in an artery (groin or
neck).
During the procedure
The following describes the angioplasty and stenting procedure:
1. A small hollow tube (sheath) is placed into your artery.
2. A catheter with a balloon tip is threaded through the tube to the narrowing
in your artery using X-ray guidance.
3. Contrast material is injected into your artery through the catheter to allow
your doctor to see a detailed view of your narrowed artery. You may feel
warmth in your chest or head from the contrast material.
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4. The balloon tip is threaded into the narrowed
area and inflated to push the plaque to the side
to open the narrowed area.
5. A small metal mesh tube (stent) may be placed in
your newly opened vessel. The stent expands to
provide support to the artery wall and helps
prevent the artery from narrowing again.
6. The filter, sheath, catheter and balloon are then
removed.
7. A staff member will apply manual pressure to
your procedure site to help close the hole and
prevent bleeding.
o Some surgeons use a closure device to
apply pressure to the procedure site.
What will my hospital stay be like?
After your procedure you will be admitted to the CVC-2A observation unit or
CVC-5 moderate care unit. You may be able to go home the next day. Your
doctor will tell you more about what to expect. Here our team will continue to
help you recover from your procedure. When you arrive to the unit, your nurse
and patient care technician will meet you and orient you and your family to the
unit.
Our Visitation Policy
In alignment with Michigan Medicine, the Cardiovascular Center welcomes
the presence of loved ones.
Family members are welcome at your bedside 24 hours/day. We want you to
feel supported, not only by the care we provide but by your loved one’s
presence as well.
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“Family” (for purpose of visitation) is defined by you and is usually 1 or
more individuals who play a significant role in your life. Family members
may be related in any way- biologically, legally or emotionally. Your family
member may include a person(s) who is not legally related to you.
At times, we may ask your family members to step outside of the room if
procedures or other necessary interventions need to be done. Your family
will be welcomed back as soon as possible.
What should I expect when I first arrive?
You may feel sleepy from the sedative given to you, but this should wear off
in time.
You will lie flat for 4-6 hours, keeping your leg straight to prevent bleeding
or bruising at your procedure site.
You will be asked to drink lots of fluids to flush the contrast dye out of your
system.
What types of tubes, wires and equipment will be attached to me after surgery?
It is normal to have tubes and wires attached to your body after surgery. The
following is a description of some of the tubes, wires and what you can expect.
Foley catheter-placed during surgery to drain urine from your bladder.
Intravenous line (IV)-placed in a vein in your arm to give your fluids and
medications.
Portable heart monitor (telemetry unit)-this monitor transmits your heart
rate and rhythm to monitors located at your bedside and at the nursing
station. This portable monitor allows you to walk in the halls freely.
What type of monitoring will I need while I’m here?
During and after surgery, you will be watched closely by your care team. The
care you may receive is described below:
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The nurses and techs will regularly check your blood pressure, heart rate
and temperature.
The nurses will frequently check the pulses in your feet.
Your procedure site will be checked frequently.
You will have your blood drawn for lab tests.
We will measure how much you drink and urinate. We will provide a
container for you to urinate into for measurement. We will also ask that
you keep track of the amount of fluid that you drink and report it to your
nurse or tech.
You will be weighed daily.
A staff member (either a nurse or tech) will enter your room to assess
your needs hourly.
Pain and discomfort after your procedure
What kind of pain or discomfort will I feel after my procedure?
You may feel slight pain at the puncture site in your groin. You should not feel
significant discomfort anywhere else and the pain should be controllable with
acetaminophen (Tylenol ®) or ibuprofen (Motrin®).
What can I do to help keep my pain under control?
You doctor will order effective medication for you to take. Narcotics are not
typically prescribed for this procedure and so you will most likely receive
acetaminophen (Tylenol ®) or ibuprofen (Motrin). Your nurse will ask you about
your pain regularly throughout your recovery. You shouldn’t hesitate to ask for
pain medication if needed.
Throughout your hospital stay, the nurses will monitor your need for pain
medication. You can use the numeric pain rating scale below to measure your
pain. This is a helpful tool you can use to describe how much pain you are
feeling and to measure how well treatments are relieving your pain. You will be
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asked to rate your pain using a 0-to-10 pain scale. 0 means “no pain.” 10 means
the “worse pain possible.”
Why is it so important to control pain after my procedure?
Having good pain control not only helps you feel more comfortable, but also
helps you recover faster and may reduce your risk of developing certain
complications, such as pneumonia and blood clots. If your pain is well
managed, tasks such as sitting, walking, coughing, deep breathing and eating
will be easier.
What exercises will I do after Surgery?
Exercise is an important part of the recovery process after surgery. Below are
activities you will be expected to perform during your hospital stay:
Deep breathing and coughing
Use your breathing machine (Incentive Spirometer) 10 times every hour
while you are awake. For example, if you like watching TV, you should be
using your Incentive Spirometer 2-3 times during each commercial break.
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Tips when using the incentive spirometer:
o Do not get discouraged if
you do not reach the
number marked for you.
You will improve with
practice as your body
heals.
o If you start to feel dizzy
or light-headed, remove
the mouthpiece from
your mouth and take
some normal breaths.
Once you feel better,
continue using the
incentive spirometer. By BruceBlaus - Own work, CC BY-SA 4.0
Walking
Walking after your procedure is one of the most important things you
can do. Beginning the day of your procedure, you will have exercise goals
once you are off of bedrest:
o Walk the halls
o Up to the chair for meals
Repositioning
To prevent pressure injuries during your hospital stay, you need to change
your body position. The following recommendations will help you
reposition yourself:
While in bed:
o Turn your body at least every 2 hours from side to side.
o Keep the head of your bed at a 30-degree angle or lower to prevent too
much pressure on your bones.
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o Place a pillow between your ankles and knees when lying on your side.
o Place a pillow under your lower legs to elevate the heels when lying on
your back.
When sitting:
o Change your position every 15 minutes by tilting your body forward or
to the side so that your bottom lifts off the seat.
o Stand up or do “pushups” by using arms to raise off the seat every
hour.
What will my diet be after my procedure?
Your food will be low in fat and cholesterol and will not have any added salt or
sugar. It may taste different than what you are used to eating at home. It is very
important for you to eat to improve the healing process.
Guidelines:
Eat a balanced diet of:
Carbohydrate-rich foods high in fiber
A variety of fruits and vegetables
Low-fat dairy products
Lean meats
Protein-rich foods very important for wound healing. Good source of
protein includes: fish, eggs, dairy, beans and nuts.
Room service is available at any time of the day. Your nurse will bring you a
menu so you can choose what you would like to eat. Your nurse will check to
see if you ordered food and will assist you if needed.
If you are diabetic or insulin dependent, your nurse will ask you to call him/her
before you eat so she/he can check your blood sugar. It is fine for your family
to bring food from home, but it should be low in salt and low to moderate in
fat.
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Many people experience constipation after their procedure due to inactivity
and pain medication. Eating a diet rich in fiber, drinking enough fluids,
walking the halls and taking a stool softener will help your bowels move.
Sometimes a suppository or laxative is needed to help aid this process along.
Our registered dietitians are food and nutrition experts who are available to
discuss heart healthy choices and salt alternatives or reduction. They provide
sound, easy-to-follow nutrition advise. If you are interested in speaking to a
dietician, ask your nurse to arrange a visit.
How will I care for myself while in the hospital?
Wash your hands frequently or use hand sanitizer or sanitizer wipes that we
provide to you. Hand hygiene is very important to decrease your risk of
infection.
Bathe daily with the assistance of a staff or family member.
What can I expect on the day of discharge?
You will be discharged from the hospital within 24 hours after your procedure.
Do not plan on driving yourself home or going home alone in a cab or bus.
When you’re ready to go home, you’ll need to have a family member or friend
drive you.
Discharge time from the hospital may be as early as 9:30am. Please check
with your nurse to determine the anticipated time of your discharge.
Ask a family member or friend to be with you for the final review of your
discharge instructions. Please make plans for them to be there at 9:30am the
morning you are leaving.
Your case manager nurse will be in contact with you to explain your final
discharge plans.
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Your nurse will review all discharge instructions with you. During this time,
ask any questions that you may have about your care after discharge.
Be sure to understand:
Your medications and prescriptions
Incision care
Activity and restrictions
Diet
Reasons to call your doctor
Follow up appointment information
At home you will need to monitor your temperature until your next
appointment. Please make sure that you have a thermometer before you are
discharged.
When do I need to seek emergency care?
Call 9-1-1 immediately if:
You have any of the following symptoms of a stroke:
Sudden confusion or trouble speaking or understanding others
Sudden trouble seeing in one or both eyes
Sudden numbness or weakness of the face, arm, or leg, usually on one side
of your body
Sudden trouble walking, dizziness, or loss of balance or coordination
Sudden or severe headache with no known cause
If you have any of the symptoms list below:
Sudden onset of chest pain
Shortness of breath not relieved by rest
Severe bleeding or swelling at your procedure site
If your legs feel numb, tingly, cold or look blue
You believe you are experiencing a true emergency
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When do I need to call my doctor?
Under the tongue temperature above 101.5° F
Bleeding, redness, swelling, increased pain or foul smelling
drainage near your procedure site
Bruising at your procedure site that quickly increases in size
Procedure site that opens up after you leave the hospital
Increased swelling in your legs or ankles
Weight gain of more than 5 pounds in 3 days
Increased shortness of breath/difficulty breathing
Trouble urinating
Nausea, vomiting or diarrhea
Stomach pain or bloating
Black or bloody stools
Chills or excessive sweating
A vague feeling that something is wrong
What is the number to call?
Call (888) 287-1082 Monday through Friday from 8:00am to 4:30pm:
o Ask to speak to the Vascular Surgery Nurse.
Call (734) 936-6267 after 4:30pm or on weekends or holidays:
o Ask the hospital operator to page the Vascular Surgery Medical
Resident on call. You will receive a call back from the Resident.
What type of follow up care will I receive?
You will have a post-operative visit in the Vascular Surgery Clinic after your
procedure. You will receive your appointment information before you are
discharged from the hospital. If you did not receive an appointment for your
return visit, please call (888) 287-1082. You may need follow-up tests such as
an ankle-brachial index (ABI) test before or during your clinic visit.
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What steps should I take to monitor my health at home?
You will need to perform and record the following self-checks daily:
Check your procedure site daily for signs of infection including:
o Increased redness
o Tenderness
o Swelling
o Warmth or drainage
Take your temperature each morning before eating, drinking and anytime
you think you may have a fever for the first week after your procedure.
How do I care for my procedure site?
You will have a procedure site in your groin. This site may remain tender,
swollen and bruised for up to a week. There may be a small area of
discoloration or a small lump in the area of the puncture.
Follow these guidelines to care for your procedure site while bathing:
Wash your surgical incision(s) with your usual bath soap and water every
day. Pat dry and leave open to air. Use a freshly laundered wash cloth and
towel each time you shower.
Do not put any creams, lotions, powders or ointments on your surgical
incision(s) until they heal.
Do not soak in a bathtub, hot tub or get into a swimming pool for the next 4
weeks.
What are my activity instructions?
After 48 hours you can return to your usual activities.
Restrictions
Do not participate in strenuous activities (weight lifting, running etc.) for 7
days after your procedure.
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Do not lift, push or pull any objects over 5 pounds for 7 days after your
procedure.
Do not return to work until you have seen your doctor at the first follow up
clinic visit.
Driving:
o You can resume driving 3 days after your procedure if you have full
range of motion in your neck and no discomfort.
o Do not drive if you are taking narcotic pain medication.
o You can ride as a passenger in a car at any time, but, as always, you
should wear your seatbelt.
Activities
Walk every day (find an indoor setting during bad weather).
You may climb stairs but take them at a slow pace.
Limit the number of times you take the stairs until you feel well.
Gradually increase your activities until you reach your normal activity level
within one week after the procedure.
How will I manage my discomfort at home?
You will experience minimal pain after your procedure. Your goal at home is to
control your discomfort so you can do the things you need to do to heal. It is
important to know that discomfort is normal after this procedure. You may
take acetaminophen (Tylenol ®) or ibuprofen (Motrin®) for any discomfort at
your procedure site.
Below are a few tips to help you relieve your discomfort:
Remember to take acetaminophen (Tylenol ®) or ibuprofen (Motrin®)
before activity and at bedtime.
Be sure to get enough rest. If you are having trouble sleeping, talk to your
primary care doctor.
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Use pillows to support you when you sleep and when you do your
coughing and deep breathing exercises.
Try using alternative methods: guided imagery, listening to soft music,
changing your position in bed, or massage.
What are my medication instructions?
When you are discharged from the hospital, you will be given a complete list
of the medications that you should take at home.
Your medication list will include the following information:
o Medication name(s)
o Dose of the medication
o Number of times to take the medication each day
o The last time you took each medication
o The next time that you should take each medication
Your doctor will give you any new prescriptions for your recovery before
you leave the hospital. Contact your heart doctor or primary care provider if
you need refills for your ongoing medications.
Have your insurance cards with you to help speed up the filling of your
prescriptions.
Take your medicine exactly as your doctor prescribes.
Do not take other medication without telling your doctor.
Follow-up with your heart doctor and primary care provider within 2 weeks
of discharge. They will need to make sure your medication list is complete
and accurate. They may also need to adjust or change doses for the most
effective treatment.
Keep a current list of your medicines, dosages, and times to be taken in your
wallet or purse.
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Disclaimer: This document contains information and/or instructional materials developed by Michigan Medicine for the typical patient with your condition. It may include links to online
content that was not created by Michigan Medicine and for which Michigan Medicine does not assume responsibility. It does not replace medical advice from your health care provider
because your experience may differ from that of the typical patient. Talk to your health care provider if you have any questions about this document, your condition or your treatment
plan.
Author: Bethany Lee-Lehner, RN, MSN Reviewers: Chandu Vemuri, MD
CVC Control #1140
Patient Education by Michigan Medicine is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License.Last Revised 08/2019
What can I do to stay healthy?
Although stenting opens your artery and keeps blood flowing, it does not stop
plaque from building up again. To prevent your arteries from becoming narrow
again, you should consider the following lifestyle changes:
Eat more foods low in saturated fat, cholesterol, and calories
Exercise regularly, especially aerobic exercises such as walking
Maintain your ideal body weight
Quit smoking
Take your medications to control cholesterol and to thin your blood if your
provider prescribes it.